Take the Assessment

Assessment Form

Parent's Name

Child's Name

Email

Phone Number

How old is the child?

Is the child already nearsighted or myopic? (wears correction to see better in the distance)

Are the child's parents myopic?

How many hours does the child spend outdoors? (including breaks or recess at school)

*A team member will reach out to you regarding your results. Please give us at least 24 hours.

What our Patient's say

admin 08:00 AM - 05:00 PM 08:00 AM - 05:00 PM 08:00 AM - 05:00 PM 08:00 AM - 05:00 PM 08:00 AM - 05:00 PM optometrist # # # 9132618327 18208 W. 119th St Olathe, KS 66061 9132618328 7:00 AM - 6:00 PM 7:00 AM - 6:00 PM 7:00 AM - 6:00 PM 7:00 AM - 6:00 PM 7:00 AM - 4:00 PM Closed Closed 9132618327 9479 Meadow View DrLenexa, KS 66227 https://ridgevieweye.vsappointments.com/?h=true